Individual
VIVIAN NGEGAH TAMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1008 BELVEDERE DR, ARLINGTON, TX 76010-2926
(651) 332-4329
Mailing address
4307 PALMER DR, MANSFIELD, TX 76063-3433
(651) 332-4329
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
844800
TX
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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